Rob Spencer MD

Physician, teacher, listener, speaker, advocate, coach…

whatever is needed in the moment.

Rob Spencer has been involved with end of life care since 1981, first as a volunteer, then as an emergency medical technician and hospice nursing assistant.  Subsequently, he received a B.A. in psychology from Yale College and graduated from Yale School of Medicine in 1990, when hospice and palliative care was not yet a recognized specialty.  Dr. Spencer completed an anesthesiology residency and pain management fellowship, becoming board certified in both these fields.  When finally recognized as a specialty, he achieved board certification in hospice and palliative medicine as well.

Appointed by the Governor of New Hampshire to serve on a legislative commission to study palliative care, Dr. Spencer became increasingly convinced that our culture will not be prepared for the pending tsunami of end of life needs. Concerned about the baby boomers themselves, their loved ones, and their professional and non-professional caregivers, he observed that even those of us who are not yet sick, by becoming mindful of our mortality, can heighten our appreciation of life, soothe our fears, promote healing of past wounds and losses. Through preparation, we can reduce hardship for ourselves and our loved ones at the time of death. To help us achieve these goals, Dr. Spencer created “Mindful Mortality: Lessons learned at the end of life teaching us how to live today!”

Drawing on clinical work and experiences with meditation and mindfulness, Dr. Spencer adapted tools and techniques used in patient care for the benefit of people who are alive and well.  Rob’s hope is to help people live more intentionally and joyfully now, while also seeking to reduce our fears and overcome our cultural taboo regarding end of life.  His gentle strength and humor provide comfort and laughter in the process.


One Spirit Interfaith Seminary, graduate, One Spirit Learning Alliance, New York City, New York, 2019.

Yale School of Medicine, M.D., Yale University, New Haven, Connecticut, 1990.

Yale College, B.A., cum laude, distinction in psychology, Yale University, New Haven, Connecticut, 1985.

Sidwell Friends School, graduate, Washington, D.C., 1980.


Physician/Teacher, Concord Pain Consultation Services, L.L.C., Concord, New Hampshire, 1999-present.

Physician, Interventional Pain Management, Concord and Bedford, New Hampshire, 2000-2016.

Governor appointee, Commission to Study Palliative Care, Concord, New Hampshire, 2013-14.

Consultant, Concord Regional VNA Hospice, Concord, New Hampshire, 1996-2012.

Medical Director, Pain Management, Concord Hospital, Concord, New Hampshire, 1999-2008.

Physician, Concord Hospital Pain Management Program, Concord, New Hampshire, 1996-2000.

Pain Management Fellow, University of Vermont, Burlington, Vermont, 1995-96.

Anesthesiology Resident, University of Vermont, Burlington, Vermont, 1992-95.

Transitional Intern, Wilson Hospital, United Health Services, Johnson City, New York, 1990-91.

Nursing Assistant, The Connecticut Hospice, Branford, Connecticut, 1983-84.

Rape Crisis Counselor, Yale-New Haven Hospital, New Haven, Connecticut, 1982-83.

Technician, Yale-New Haven Hospital Emergency Services & Trauma Center, New Haven, Connecticut, 1981-83.

Emergency Medical Technician, Bethesda-Chevy Chase Rescue Squad, Bethesda, Maryland, 1981.

Caring Program Volunteer, St. Francis Center, Washington, D.C., 1981.


Lifestyle Medicine, course graduate, Harvard Medical School, Boston, Massachusetts, 2019.

Certification in Hospice and Palliative Medicine, American Board of Anesthesiology, 2012-22.

Re-certification in Pain Management/Pain Medicine, American Board of Anesthesiology, 2009-18.

Medical Acupuncture for Physicians, course graduate, University of California, Los Angeles, 2000.

Certification in Pain Medicine, American Board of Pain Medicine, 1998-present.

Certification in Pain Management, American Board of Anesthesiology, 1998-2008.

Certification in Anesthesiology, American Board of Anesthesiology, 1997-present.

Medical License, State of New Hampshire, 1996-present.

Medical License, State of Vermont, 1991-2012 (physician elected not to renew).

Diploma, National Board of Medical Examiners, 1991.

Archive (click to view)

Items of interest are posted here from time to time, including random selections from Dr. Spencer’s archive of “laughing in the face of death”  jokes at the bottom of the page.  (Check back again later for new selections.)